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The Florida Senate

2016 Florida Statutes

Title XXXVII INSURANCE
Chapter 636 PREPAID LIMITED HEALTH SERVICE ORGANIZATIONS AND DISCOUNT MEDICAL PLAN ORGANIZATIONS Entire Chapter
SECTION 210
Prohibited activities of a discount medical plan organization.
F.S. 636.210
636.210 Prohibited activities of a discount medical plan organization.—
(1) A discount medical plan organization may not:
(a) Use in its advertisements, marketing material, brochures, and discount cards the term “insurance” except as otherwise provided in this part or as a disclaimer of any relationship between discount medical plan organization benefits and insurance;
(b) Use in its advertisements, marketing material, brochures, and discount cards the terms “health plan,” “coverage,” “copay,” “copayments,” “preexisting conditions,” “guaranteed issue,” “premium,” “PPO,” “preferred provider organization,” or other terms in a manner that could reasonably mislead a person into believing the discount medical plan was health insurance;
(c) Have restrictions on free access to plan providers, including, but not limited to, waiting periods and notification periods; or
(d) Pay providers any fees for medical services.
(2) A discount medical plan organization may not collect or accept money from a member for payment to a provider for specific medical services furnished or to be furnished to the member unless the organization has an active certificate of authority from the office to act as an administrator.
History.—s. 31, ch. 2004-297; s. 7, ch. 2005-232.